Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $62.15 / $145.12	Facility		$10.33	$62.15	$145.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $11.88 / $31.92	Professional		$9.69	$11.88	$31.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $7.75 / $7.75	Professional		$7.75	$7.75	$7.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $31.16 / $293.00	Facility		$14.16	$31.16	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $10.18 / $30.04	Professional		$6.38	$10.18	$30.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $80.28 / $165.97	Facility		$33.46	$80.28	$165.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $11.43 / $62.02	Professional		$8.00	$11.43	$62.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $16.97 / $43.26	Facility		$8.93	$16.97	$43.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $15.63 / $21.35	Professional		$8.58	$15.63	$21.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.92 / $20.67	Professional		$11.48	$12.92	$20.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $12.92 / $29.28	Professional		$10.34	$12.92	$29.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $85.72 / $100.00	Facility		$68.23	$85.72	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $7.75 / $7.75	Professional		$7.75	$7.75	$7.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.71 / $15.44 / $37.07	Facility		$10.71	$15.44	$37.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.98 / $25.84	Professional		$8.58	$12.98	$25.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $45.34 / $45.34	Professional		$45.34	$45.34	$45.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $12.92 / $18.09	Professional		$10.34	$12.92	$18.09
United Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $7.75 / $24.82	Professional		$5.43	$7.75	$24.82